NCLEX CRUSADE ACADEMY TEST - 1 PHARMACOLOGY II

1. Which condition requires lifelong insulin therapy due to absolute insulin deficiency?. Type 2 Diabetes Mellitus. Gestational Diabetes. Type 1 Diabetes Mellitus. Prediabetes.

2. Which insulin is the ONLY type that may be administered intravenously?. NPH. Regular insulin. Glargine. Detemir.

3. A nurse prepares to administer rapid acting insulin. When should it be given?. 1 hour before meals. Immediately after meals. Within 15 minutes of meals. At bedtime only.

4. Which insulin type has NO peak and provides a steady 24Ihour basal level?. NPH. Lispro. Regular. Glargine.

5. When mixing NPH and Regular insulin, which insulin should be drawn up first?. NPH. Regular. Either one. Detemir.

6. Which insulin carries the highest risk for overnight hypoglycemia due to its peak time?. Lispro. NPH. Glargine. Detemir.

7. A patient with blood glucose of 60 mg/dL is conscious. What is the first nursing action?. Administer glucagon IM. Give IV dextrose. Provide 15 g of simple carbohydrates. Administer insulin.

8. What is the priority treatment for severe hypoglycemia in an unconscious patient with IV access?. Oral glucose tablets. IV Dextrose 50%. NPH insulin. Regular insulin.

9. If IV access is not available during severe hypoglycemia, what medication should be administered?. Glucagon IM. Insulin lispro. Metformin. Dextrose orally.

10. What is the target blood glucose range often recommended for hospitalized patients under stress?. 70100 mg/dL. 80120 mg/dL. 140180 mg/dL. 200250 mg/dL.

11. Stress induced hyperglycemia in hospitalized patients is primarily caused by which hormone?. Insulin. Cortisol. Estrogen. Thyroxine.

12. What is the nurses priority before administering insulin?. Check blood pressure. Confirm the patients age. Verify current blood glucose. Measure oxygen saturation.

13. Which injection site provides the most consistent insulin absorption?. Abdomen. Thigh. Deltoid. Buttock.

14. What complication can occur if insulin injection sites are not rotated?. Hyperkalemia. Lipodystrophy. Hypotension. Infection.

15. During illness, diabetic patients should follow which rule regarding insulin?. Stop insulin. Reduce insulin by half. Skip insulin if not eating. Never skip insulin.

16. Which insulin is considered rapid acting?. Lispro. NPH. Glargine. Detemir.

17. Which insulin is classified as intermediate acting?. Lispro. NPH. Regular. Degludec.

18. What is the primary cause of hypoglycemia in patients receiving insulin therapy?. Excess carbohydrate intake. Delayed insulin administration. Mismatch between insulin and food intake. Dehydration.

19. Which statement about long acting insulin is correct?. It must always be mixed with regular insulin. It should never be mixed with other insulin types. It peaks within 2 hours. It is given IV.

20. Which patient should the nurse prioritize first?. Patient with glucose 180 mg/dL. Patient with glucose 65 mg/dL. Patient with mild headache. Patient waiting for insulin dose.

21. Which factor increases risk of insulin related medication errors in elderly patients?. Increased metabolism. Increased insulin resistance. Vulnerability to rapid decompensation. Increased appetite.

22. Which vaccine situation represents an absolute contraindication?. Mild cold. Low grade fever. Severe anaphylaxis to vaccine component. Mild fatigue.

23. Which vaccine precaution requires delaying vaccination?. Moderate or severe acute illness with fever. Mild cough. Low grade fever. Minor allergy.

24. What is the nurses first step when approaching a pharmacology question on the NCLEX?. Calculate dosage. Identify the core problem. Administer medication. Call the physician.

25. According to the NCLEX safety strategy, what should the nurse do after identifying the problem?. Select the first answer. Eliminate unsafe options. Skip the question. Guess randomly.